Individual
ALICIA BARBARA THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12017 PENNSYLVANIA AVE N, CHAMPLIN, MN 55316-2233
(952) 215-2801
Mailing address
12017 PENNSYLVANIA AVE N, CHAMPLIN, MN 55316-2233
(952) 215-2801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 153534-1
MN
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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